HomeMy WebLinkAboutBuilding Permit1� Improvement Location Permit Permit -�`
Township Date -7
This permit is valid only if construction is started within 120 days of issuance date; all construction is completed (c/o issued) within
(2) two years of issuance date unless an extension of time has been officially granted by letter by the Director, Department of
Community Development.
A.
NAME L h LAG PHONE
9' L_ Z 4 G
BUILDER
STREET CITY
STATE ZIP
a'I
p44AMt1,- ON
— ONAM$
(IF APPLICABLE)
M 0 1. 41d %Z. A
1-1
Inspections.....................�
Certificate of Occupancy.........
NAME CA -1Z NVE f~ F -Z>RA6i_c PHONE
Total .........................����
OWNER
"Uwar 1.p c os K
E
STREET CITY
STATE ZIP
5.0 Institutional
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l $ 't• R
o
B.
LOT SUBDIVISION
SECTION
LOCATION
2. O Multi -family
3.Commercial
ADDR'S,S OF CCONSTRUCCTIION
4.' O Industrial
A.
TYPE OF CONSTRUCTION
Residential Two Family)
2. O Residential (One or Two Family)
3 Commercial
o m /Under Slab
1.0 (One or
a'I
Fina
4IndustrialO
Square Footage —_ —
2OResidential (Multi -family)
3. Commercial
1-1
Inspections.....................�
Certificate of Occupancy.........
&
E
ify)
5. O Other (Specify)
Total .........................����
4AIndustrial
Plan Comm. Approved (Date)
E
PROPOSED USE OF PROPERTY
5.0 Institutional
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1. O One or Two Family Dwelling
B.
TYPE OF SEWAGE DISPOSAL
1.'X Public (Name of System
'/
/��� `� )
2. O Multi -family
3.Commercial
2.0 Private (Septic Tank, etc.)
4.' O Industrial
\tlr'
�2a< X021=
C.
TYPE OF IMPROVEMENT
��:�G�,Ii; +
��', '
5. O Other (Sepcify)
PROPERTY
*—
;'_
2.0 Commercial Tenant Space "
F:�J'ZONING CLASS CATION OF
v Present
-�7
3. Addition Porch
p��C}C� .;, i' `1 Oi\�
4 Koom'
G.
ESTIMATE COST OF CONSTRUCTION
Q
4 Remodel
�h33
(Excluding Land Value)
5. Foundation O < <
6.0 Demolition e,•
•+; t'j ^r
t ` { '�'� 0
H.
Lot Split Yes No�
P
7.0 Accessory Building '• U�•
8.0 Swimming Pool -(
f L
G G i `\P`�'
\f`
I.
/
Flood Zones: Yes_,.____. No l�
9.0 Garage Deta
li tached
J.
A. B. C.
Sump Pump: Yes_-- No
D.
PRESENT USE OF PROPERTY
K.
Geothermal Heat Pump: Yes No_!/ -.._--
1. O Farm/Vacant
The undersigned agrees that any construction, reconstruction, enlargement, relocation or alteration of structure, or any change
in the use of land or structures requested by this application will comply with, and comform to, all applicable laws of the State of
Indiana, and the "Zoning Ordinance of Carmel, Indiana - 1980", adopted under the authority of Acts of 1979, Public Law 178
Sec. 1 et seq, General Assembly of the State of Indiana, and all Acts amendatory thereto.
I further certify that the construction will not be used or occupied until a certificate of occupancy has been issued by the
Department of Community Development, Carmel, Indiana.
I further certify that only kitchen, bath, laundry and floor
drains are connected to sanitary ewer.
Signatu of Owner A ori d Agent
U
Addres� W& -r— 74)Q
Inspections Needed:
rains
V'� Pole
o m /Under Slab
ou In
r Base
Fina
O
Square Footage —_ —
Permit (Sq. Footage) ............
.�--
Inspections.....................�
Certificate of Occupancy.........
-
_ —
Total .........................����
Plan Comm. Approved (Date)
—
Board of Zoning Appeals
Approval (Date)
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